# PHOENIX HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780694711
- **Authorized official:** ANGELA TAYLOR (MEDICARE SPECIALIST)
- **Authorized official phone:** (918) 645-6164

## Contact information

- **Practice address:** 1165 S. BRENNER RD, SAPULPA, OK 74066-6141
- **Practice address phone:** (918) 224-0600
- **Practice address fax:** (918) 224-6287
- **Mailing address:** 1165 S. BRENNER RD, SAPULPA, OK 74066-6141
- **Mailing address phone:** (918) 224-0600
- **Mailing address fax:** (918) 224-6287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH1906-1906 | OK | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200040930A | — | OK |